Individual provider · Type 1 NPI

Robert Gregory Nydam, IDMT

Physician Assistant · Las Vegas, NV

NPI number 1184867301 Active

Practice location

888 S Rancho Dr
Las Vegas, NV 89106-3810

Fax (702) 258-6152

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians 1710I1003XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1184867301

Robert Gregory Nydam, IDMT's National Provider Identifier is 1184867301, issued on Apr 17, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 23, 2017.